Agenda

Return

C. 30

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	March 8, 2022

Contra

Costa

County

Subject:

Amendment #26-458-31 with AYA Healthcare, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/08/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Jaspreet Benepal, 925-370-5100
cc:	Leslie A Walker M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: March 8, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment Agreement #26-458-31 with AYA Healthcare, Inc., a corporation, effective March 1, 2022, to amend Contract #26-458-30, to increase the crisis rates for temporary nursing services for Contra Costa Regional Medical Center (CCRMC) and Contra Costa Health Centers with no change in the payment limit of $3,000,000 or term July 1, 2021 through June 30, 2022.

FISCAL IMPACT:

Approval of this contract will not impact the annual expenditures of up to $3,000,000 and will be funded as budgeted by the Department in FY 2021-2022 by 100% Hospital Enterprise Fund I allocations. (Rate increase)

BACKGROUND:

CCRMC and Contra Costa Health Centers have an obligation to provide medical staffing services to patients. Therefore, the County contracts with temporary help firms to ensure patient care is provided during peak loads, temporary absences, vacations and emergency situations where additional nurse staffing is required. The County has been using the contractor’s temporary staffing services since July 1, 2008.

On June 27, 2021, the Board of Supervisors approved Contract #26-458-30 with AYA Healthcare, Inc., in an amount not to exceed $1,500,000 for the provision of temporary nursing services for CCRMC and Contra Costa Health Centers to cover during temporary absences and shortages of nurses in critical areas for the period July 1, 2021 through June 30, 2022.

Approval of Amendment Agreement #26-458-31 will increase the crisis rates for temporary nurse staffing and allow the contractor to continue to provide temporary staffing services through June 30, 2022.

This amendment includes services provided by represented classifications and the County has met its obligations with the respective labor partner(s).

Due to Contra Costa County still being in the midst of the COVID-19 pandemic, CCRMC and Health Centers continue to experience a shortage in nursing staff due to multiple staff taking time off for COVID-19 isolations and illnesses. The County is challenged by the lack of agency nurses being available and willing to work on current billed rates, therefore the Division is requesting to amend this contract to increase the crisis rates to retain agency nursing staff at CCRMC and Health Centers.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, crisis rates will not be increased and hard to fill positions will continue to go unstaffed.